ANDREW ROBERT BRANAGAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057215

License Status

CANCELLED

Business

First Name

ANDREW

Middle

ROBERT

Last Name

BRANAGAN

Business Name

ANDREW ROBERT BRANAGAN

Original Issue Date

07/06/2009

Effective Date

07/06/2009

Expiration Date

07/05/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/06/2009